NPIMap

Organization Active NPI

Morningside Primary Care

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1730299157
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MORNINGSIDE PRIMARY CARE
Practice address
617 W Manchester Ave
Los Angeles, CA 90044-5718
Phone
(323) 750-9715
Fax
(323) 750-1532
NPI assigned
Aug 30, 2006
Last updated
Nov 1, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
MORNINGSIDE PRIMARY CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lemmon C McMillan, MDNPI 1619196656
Title
Owner
Phone
(323) 750-9715

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

617 W Manchester Ave
Los Angeles, CA 90044-5718

Mailing address

617 W Manchester Ave
Los Angeles, CA 90044-5718
Phone (323) 750-9715

National Provider Directory

National Provider Directory
Tax ID family
Morningside Primary Care Medical Ctr Inc2 organizations share this tax ID, including this one
Part of
Morningside Primary Care Medical Ctr Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1730299157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 W MANCHESTER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900445718",
            "telephone_number": "323-750-9715",
            "fax_number": "323-750-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 W MANCHESTER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900445718",
            "telephone_number": "323-750-9715",
            "fax_number": "323-750-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORNINGSIDE PRIMARY CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MORNINGSIDE PRIMARY CARE",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "LEMMON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-750-9715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.